Ryan, Myranda Lynn

Ryan, Myranda Lynn is an individual health care provider with primary practice located at 800 N Maitland Ave Suite 103, Maitland FL 32751-4489. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Ryan, Myranda Lynn can be contacted via phone (407) 660-7100.

Contact Information

Primary practice address
800 N Maitland Ave Suite 103 Maitland FL 32751-4489
Phone: (407) 660-7100
Fax: (407) 660-7051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP2614202 Florida

Profile Details

NPI number 1992929178
LBN Legal business name Ryan, Myranda Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Oct 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992929178 NPPES
Florida MEDICAID 003600900

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